| NPI | 1396994299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 000500-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000500-1) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2009-09-10 |